Impact of Chewing Gum on Postoperative Gut Motility in Gastrointestinal Surgery Patients
Impact of Chewing Gum on Postoperative Gut Motility in Gastrointestinal Surgery Patients: A Randomized Controlled Trial at Khyber Teaching Hospital, Peshawar, Pakistan
Khyber Medical University Peshawar
96 participants
Jan 1, 2026
INTERVENTIONAL
Conditions
Summary
Postoperative ileus (POI) is a frequent complication after abdominal surgery, leading to delayed gastrointestinal motility, prolonged hospital stay, and increased patient discomfort. Chewing gum, as a form of sham feeding, has been proposed to stimulate gut motility through vagal stimulation and increased gastrointestinal secretions. This randomized controlled trial aims to assess the effect of chewing gum on early recovery of gastrointestinal motility in patients undergoing open gastrointestinal surgery.
Eligibility
Inclusion Criteria4
- Age between 17 and 85 years.
- Patients of either gender.
- Undergoing open gastrointestinal surgical procedures (elective or emergency).
- Willing to participate and able to provide informed consent.
Exclusion Criteria6
- Patients with metabolic or endocrine disorders (diabetes mellitus, hypothyroidism, or hyperthyroidism).
- Patients with renal disease or electrolyte imbalance.
- Patients with chronic constipation or neuromuscular disorders.
- Patients with substance abuse or drug addiction.
- Patients receiving medications affecting gut motility (calcium channel blockers or antiepileptic drugs).
- Patients with dental prosthesis or undergoing laparoscopic gastrointestinal surgery.
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Interventions
Participants will chew glucose/carbohydrate-containing chewing gum for 15 minutes, three times daily, starting 6 hours after surgery and continuing for 48 hours or until the first passage of flatus or stool, in addition to standard postoperative care.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07425249